Evidence map›Paper›PMID 24698316›Full record

Trial reportThe Journal of allergy and clinical immunology2014

Hypomorphic homozygous mutations in phosphoglucomutase 3 (PGM3) impair immunity and increase serum IgE levels.

Atfa Sassi, Sandra Lazaroski, Gang Wu, Stuart M Haslam, Manfred Fliegauf, Fethi Mellouli, Turkan Patiroglu, Ekrem Unal, Mehmet Akif Ozdemir, Zineb Jouhadi and 35 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of allergy and clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 1 synthesis or guideline pooled it, 189 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Endocrine Implications of Congenital Disorders of GlycosylationJournal of clinical research in pediatric endocrinology · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Understanding and Managing Hyper IgE Syndromes.ImmunoTargets and therapy · 2025
    Review
  15. The genetics of hyper IgE syndromes.Frontiers in immunology · 2025
    Review
  16. Review
  17. Article
  18. TThe Journal of allergy and clinical immunology · 2024
    Review
  19. Article
  20. Review

50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

45 authors at 15 institutions in 7 countries.

Atfa SassiLaboratory of Immunopathology, Vaccinology and Molecular Genetics, Pasteur Institute of Tunis and University Tunis El Manar, Tunis, Tunisia.
Sandra LazaroskiCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Gang WuDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Stuart M HaslamDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Manfred FliegaufCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Fethi MellouliPediatrics Department, Bone Marrow Transplantation Center, Tunis, Tunisia.
Turkan PatirogluDepartment of Pediatrics, Division of Pediatric Hematology and Oncology, Faculty of Medicine, Erciyes University, Kayseri, Turkey; Department of Pediatrics, Division of Pediatric Immunology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Ekrem UnalDepartment of Pediatrics, Division of Pediatric Hematology and Oncology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Mehmet Akif OzdemirDepartment of Pediatrics, Division of Pediatric Hematology and Oncology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Zineb JouhadiDepartment of Pediatric Infectious Diseases, CHU IBN ROCHD, Hassan II University, Casablanca, Morocco.
Khadija KhadirDepartment of Pediatric Infectious Diseases, CHU IBN ROCHD, Hassan II University, Casablanca, Morocco.
Leila Ben-KhemisLaboratory of Immunopathology, Vaccinology and Molecular Genetics, Pasteur Institute of Tunis and University Tunis El Manar, Tunis, Tunisia.
Meriem Ben-AliLaboratory of Immunopathology, Vaccinology and Molecular Genetics, Pasteur Institute of Tunis and University Tunis El Manar, Tunis, Tunisia.
Imen Ben-MustaphaLaboratory of Immunopathology, Vaccinology and Molecular Genetics, Pasteur Institute of Tunis and University Tunis El Manar, Tunis, Tunisia.
Lamia BorchaniLaboratory of Venoms and Therapeutic Molecules, Institut Pasteur de Tunis, Tunis, Tunisia.
Dietmar PfeiferDepartment of Medicine I, Specialties: Hematology, Oncology, and Stem-Cell Transplantation, University Medical Center Freiburg, Freiburg, Germany.
Thilo JakobAllergy Research Group, Department of Dermatology, University Medical Center Freiburg, Freiburg, Germany.
Monia KhemiriPediatrics Department A, Children's Hospital of Tunis, Tunis, Tunisia.
A Charlotta AsplundClinical Research Center, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Huddinge, Sweden.
Manuela O GustafssonClinical Research Center, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Huddinge, Sweden.
Karin E LundinClinical Research Center, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Huddinge, Sweden.
Elin Falk-SörqvistDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbeck Laboratory, Uppsala, Sweden.
Lotte N MoensDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbeck Laboratory, Uppsala, Sweden.
Hatice Eke GungorDepartment of Pediatrics, Division of Pediatric Immunology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Karin R EngelhardtRoyal Free Hospital, Institute of Immunity & Transplantation, University College London, London, United Kingdom.
Magdalena DziadzioRoyal Free Hospital, Institute of Immunity & Transplantation, University College London, London, United Kingdom.
Hans StaussRoyal Free Hospital, Institute of Immunity & Transplantation, University College London, London, United Kingdom.
Bernhard FleckensteinInstitute of Virology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Rebecca MeierCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Khairunnadiya PrayitnoCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Andrea Maul-PavicicCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Sandra SchafferCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Mirzokhid RakhmanovCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Philipp HennekeCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Helene KrausCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Hermann EibelCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany.
Uwe KölschDivision of Immunology, Labor Berlin and Institute of Medical Immunology, Charité, Campus Virchow Klinikum, Berlin, Germany.
Sellama NadifiDepartment of Genetics, Hassan II University, Casablanca, Morocco.
Mats NilssonDepartment of Immunology, Genetics and Pathology, Uppsala University, Rudbeck Laboratory, Uppsala, Sweden.
Mohamed BejaouiPediatrics Department, Bone Marrow Transplantation Center, Tunis, Tunisia.
Alejandro A SchäfferNational Center for Biotechnology Information, National Institutes of Health, Department of Health and Human Services, Bethesda, Md.
C I Edvard SmithClinical Research Center, Department of Laboratory Medicine, Karolinska Institutet, Karolinska University Hospital Huddinge, Huddinge, Sweden.
Anne DellDepartment of Life Sciences, Imperial College London, London, United Kingdom.
Mohamed-Ridha BarboucheLaboratory of Immunopathology, Vaccinology and Molecular Genetics, Pasteur Institute of Tunis and University Tunis El Manar, Tunis, Tunisia.
Bodo GrimbacherCenter for Chronic Immunodeficiency (CCI), University Medical Center Freiburg, Freiburg, Germany; Royal Free Hospital, Institute of Immunity & Transplantation, University College London, London, United Kingdom. Electronic address: bodo.grimbacher@uniklinik-freiburg.de.
University Medical Center Freiburg · DEInstitut Pasteur de Tunis · TNErciyes University · TRImperial College London · GBKarolinska Institutet · SEThe Royal Free Hospital · GBUniversity of Hassan II Casablanca · MAUppsala University · SETunis El Manar University · TNCharité - Universitätsmedizin Berlin · DEChildren's Hospital · TNFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKarolinska University Hospital · SENational Center for Biotechnology Information · USUniversity College London · GB

Funding

Case Studies In GeneticsZIALM000097 · NLM · NATIONAL LIBRARY OF MEDICINE · PI SCHAFFER, ALEJANDRO A · 2009 to 2019
$4.6M
Case Studies In GeneticsZ01LM000097 · NLM · NATIONAL LIBRARY OF MEDICINE · PI SCHAFFER, ALEJANDRO A · 2002 to 2008
$452k
Biotechnology and Biological Sciences Research Council BBF0083091Biotechnology and Biological Sciences Research Council BB/K016164/1Intramural NIH HHS Z01 LM000097
6 · The paper itself

Abstract

backgroundRecurrent bacterial and fungal infections, eczema, and increased serum IgE levels characterize patients with the hyper-IgE syndrome (HIES). Known genetic causes for HIES are mutations in signal transducer and activator of transcription 3 (STAT3) and dedicator of cytokinesis 8 (DOCK8), which are involved in signal transduction pathways. However, glycosylation defects have not been described in patients with HIES. One crucial enzyme in the glycosylation pathway is phosphoglucomutase 3 (PGM3), which catalyzes a key step in the synthesis of uridine diphosphate N-acetylglucosamine, which is required for the biosynthesis of N-glycans.

objectiveWe sought to elucidate the genetic cause in patients with HIES who do not carry mutations in STAT3 or DOCK8.

methodsAfter establishing a linkage interval by means of SNPchip genotyping and homozygosity mapping in 2 families with HIES from Tunisia, mutational analysis was performed with selector-based, high-throughput sequencing. Protein expression was analyzed by means of Western blotting, and glycosylation was profiled by using mass spectrometry.

resultsMutational analysis of candidate genes in an 11.9-Mb linkage region on chromosome 6 shared by 2 multiplex families identified 2 homozygous mutations in PGM3 that segregated with disease status and followed recessive inheritance. The mutations predict amino acid changes in PGM3 (p.Glu340del and p.Leu83Ser). A third homozygous mutation (p.Asp502Tyr) and the p.Leu83Ser variant were identified in 2 other affected families, respectively. These hypomorphic mutations have an effect on the biosynthetic reactions involving uridine diphosphate N-acetylglucosamine. Glycomic analysis revealed an aberrant glycosylation pattern in leukocytes demonstrated by a reduced level of tri-antennary and tetra-antennary N-glycans. T-cell proliferation and differentiation were impaired in patients. Most patients had developmental delay, and many had psychomotor retardation.

conclusionImpairment of PGM3 function leads to a novel primary (inborn) error of development and immunity because biallelic hypomorphic mutations are associated with impaired glycosylation and a hyper-IgE-like phenotype.

Indexed as

HomozygoteImmunoglobulin EMutation, MissenseAdultAmino Acid SubstitutionCell ProliferationChildChromosomes, Human, Pair 6FemaleGenetic Diseases, InbornGenetic LinkageGlycosylationHumansImmunityInfantJob SyndromeImmunoglobulin EPGM3 protein, humanPhosphoglucomutasededicator of cytokinesis 8glycosylationHyper-IgE syndromephosphoglucomutase 3signal transducer and activator of transcription 3Staphylococcus aureus

Identifiers

PMID24698316
PMCPMC4825677
OpenAlexW2171462887

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.